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TABLE OF CONTENTS
PREAMBLE
DEFINITIONS
ARTICLE
I - NAME
ARTICLE
II - MEMBERSHIP
2.1
Nature of Membership
2.2
Qualifications for Membership
2.3
Effect of Other Affiliations
2.4
Nondiscrimination
2.5
Basic Responsibilities of Medical Staff Membership
2.6
Harassment Prohibited
ARTICLE III
- CATEGORIES OF MEMBERSHIP
3.1
Categories
3.2
Active Staff
3.3
The Courtesy Medical Staff
3.4
Provisional Staff
3.5
The Consulting Medical Staff
3.6
The Emeritus Staff
3.7
Temporary Staff
3.8
Administrative Staff
3.9
House Staff
3.10 Limitation
of Prerogatives
3.11 General
Exceptions to Prerogatives
3.12 Modification
of Membership
ARTICLE
IV - APPOINTMENT AND REAPPOINTMENT
4.1
General
4.2
Burden of Producing Information
4.3
Appointment Authority
4.4
Duration of Appointment and Reappointment
4.5
Application for Initial Appointment and Reappointment
4.6
Reappointments
and Requests for Modifications
of
Staff Status or Privileges
4.7
Leave of Absence
ARTICLE V - PRIVILEGES
5.1
Exercise of Privileges
5.2
Delineation of Privileges in General
5.3
Proctoring
5.4
Conditions for Privileges of Limited License Practitioners
5.5
Temporary Clinical Privileges
5.6
Emergency Privileges
5.7
Modification of Privileges or Department Assignment
5.8
Lapse of Application
ARTICLE VI - CORRECTIVE ACTION
6.1
Corrective Action
6.2
Summary Restriction or Suspension
6.3
Automatic Suspension or Limitation
ARTICLE VII - HEARINGS AND APPELLATE REVIEWS
7.1
General Provisions
7.2
Grounds for Hearing
7.3
Requests for Hearing
7.4
Hearing Procedure
7.5
Appeal
7.6
Exclusive Contracts
7.7
Expunction of Disciplinary Action
ARTICLE VIII - OFFICERS
8.1
Officers of the Medical Staff
8.2
Duties of Officers
ARTICLE IX - CLINICAL DEPARTMENTS AND DIVISIONS
9.1
Organization of Clinical Departments and Divisions
9.2
Current Departments and Divisions
9.3
Assignment to Departments and Divisions
9.4
Functions of Departments
9.5
Functions of Divisions
9.6
Department Heads
9.7
Division Chiefs
ARTICLE X - COMMITTEES
10.1 Designation
10.2 General
Provisions
10.3 Medical
Executive Committee
10.4 Joint
Conference Committee
10.5 Utilization
Review Committee
10.6 Pharmacy
and Therapeutics Committee
10.7 Infection
Control Committee
10.8 Bylaws
Committee
10.9 Performance
Improvement Committee
10.10 Physicians' Advisory Committee
10.11 Ethics Committee
10.12 Committee on Interdisciplinary Practice
10.13 Cancer Committee
10.14 Continuing Medical Education Committee
ARTICLE XI - MEETINGS
11.1 Meetings
11.2 Committee
and Department Meetings
11.3 Quorum
11.4 Manner
of Action
11.5 Minutes
11.6 Attendance
Requirements
11.7 Conduct
of Meetings
11.8 Executive
Session
ARTICLE XII - CONFIDENTIALITY, IMMUNITY AND RELEASES
12.1 Authorization
and Conditions
12.2 Confidentiality
of Information
12.3 Immunity
from Liability
12.4 Activities
and Information Covered
12.5 Releases
12.6 Indemnification
ARTICLE XIII - GENERAL PROVISIONS
13.1 Rules
and Regulations
13.2 Dues
or Assessments
13.3 Construction
of Terms and Headings
13.4 Authority
to Act
13.5 Division
of Fees
13.6 Notices
13.7 Disclosure
of Interest
13.8 Nomination
of Medical Staff Representatives
13.9 Medical
Staff Credentials Files
13.10 Medical Staff Role in Exclusive Contracting
ARTICLE XIV - ALLIED HEALTH PROFESSIONALS
14.1 Qualifications
14.2
Delineation
of Categories of Allied Health Professional
Eligible
to Apply for Practice Privileges
14.3 Procedure
for Granting Practice Privileges
14.4 Privileges
and Responsibilities
ARTICLE XV - ADOPTION AND AMENDMENT OF BYLAWS
15.1 Procedure
15.2 Approval
15.3 Exclusivity
15.4 Successor
in Interest
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